Inspection Reports for Radiance Senior Living at The Village
2333 Manchester Dr, Oklahoma City, OK 73120, United States, OK, 73120
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 4
Aug 28, 2025
Visit Reason
Multiple complaint investigations were conducted at Radiance Senior Living At The Village related to allegations of misappropriation of residents' property, inadequate supervision, failure to provide adequate care and services, abuse, failure to maintain a clean environment, and failure to provide wound care consistent with community standards.
Findings
The investigations found multiple deficiencies including failure to complete admission and comprehensive assessments timely, failure to maintain hot water temperature in laundry, failure to follow dietary menus as planned, and failure to ensure adequate care and protection of residents from abuse and neglect. The facility was found to have deficiencies in admission assessments, comprehensive assessments, laundry hot water temperature, and dietary menu compliance.
Complaint Details
Multiple complaints were investigated including allegations of misappropriation of residents' property, inadequate supervision, failure to provide adequate care and services, abuse, failure to maintain a clean environment, and failure to provide wound care consistent with community standards. Investigations included observations, interviews, and record reviews.
Deficiencies (4)
| Description |
|---|
| Failed to ensure admission assessments were completed within 30 days before or at the time of admission for 3 of 9 sampled residents. |
| Failed to ensure comprehensive assessments were completed once every 12 months and promptly after significant change for 5 of 9 sampled residents. |
| Failed to ensure hot water temperature of 160 degrees Fahrenheit was maintained in laundry washing machines. |
| Failed to ensure food prepared was consistent with written and planned menu prepared by dietary consultant. |
Report Facts
Residents sampled: 9
Facility census: 50
Hot water temperature: 106
Hot water temperature: 109
Corrective action completion date: 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Wright | Executive Director | Named in plan of correction and correspondence related to the inspection and correction of deficiencies |
| Tempal Killman | Enforcement Analyst | Signed enforcement and correspondence letters related to the inspection |
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Feb 3, 2025
Visit Reason
This document serves as the renewal license issued to Oklahoma City Opco LLC for the Assisted Living Center known as Radiance Senior Living at the Village.
Findings
The license certifies that the facility is authorized to operate as an Assisted Living Center with a maximum capacity of 65 beds, effective from 2024-11-26 through 2027-11-26.
Report Facts
Maximum licensed beds: 65
Inspection Report
Original Licensing
Capacity: 65
Deficiencies: 0
May 29, 2024
Visit Reason
This document is an initial licensing inspection for an assisted living center to certify the facility for operation.
Findings
The report certifies that Oklahoma City Opco LLC is licensed to conduct and maintain an assisted living center named Radiance Senior Living at the Village with a maximum capacity of 65 beds.
Report Facts
Maximum licensed capacity: 65
Inspection Report
Original Licensing
Capacity: 65
Deficiencies: 0
May 29, 2024
Visit Reason
This document is the initial licensing inspection and certification for an assisted living center named Radiance Senior Living at the Village.
Findings
The document certifies that Oklahoma City Opco LLC is licensed to conduct and maintain an assisted living center with a maximum capacity of 65 beds, effective from May 29, 2024, through November 25, 2024.
Inspection Report
Renewal
Deficiencies: 3
Jan 11, 2023
Visit Reason
A relicensure survey and complaint investigation were conducted at Vitality Living Village from January 9 through January 11, 2023, to assess compliance with state regulations and investigate a complaint.
Findings
The survey identified deficiencies including failure to ensure comprehensive assessments included personal interviews for two residents, failure to complete annual performance reviews for nurse aides, and failure to validate certified medication aides' skills before medication administration and annually. The complaint allegation of neglect was unsubstantiated. The facility submitted an acceptable plan of correction and was found in substantial compliance upon a revisit on March 21, 2023.
Complaint Details
The complaint alleged neglect of residents. The investigation was unsubstantiated as the survey team did not find sufficient evidence to confirm deficient practice related to neglect.
Severity Breakdown
SS=E: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure each comprehensive assessment included a personal interview between the resident or representative and the person completing the form for two residents. | SS=E |
| Failed to complete performance reviews of every nurse aide at least once every twelve months for two long term care aides. | SS=E |
| Failed to validate certified medication aides' skills before medication administration for two newly hired CMAs and failed to review annually for one CMA. | SS=E |
Report Facts
Investigation Dates: Complaint investigation conducted from 2023-01-09 to 2023-01-11
Deficiencies cited: 3
Plan of Correction Completion Date: Facility alleged correction and substantial compliance by 2023-02-28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Danna Johnson | Administrator | Named as facility administrator and signer of plan of correction |
| Melissa Swaim | RN | Signed complaint investigation report |
| Katie Stagner | Enforcement Analyst | Signed enforcement correspondence and revisit letter |
| Tempal Killman | Administrative Assistant II | Signed acceptance of plan of correction letter |
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Jun 25, 2022
Visit Reason
This document is a license renewal issued to S-H OpCo Village, LLC for the operation of an Assisted Living Center named Vitality Living Village.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 65 beds. The license is effective from 2022-06-25 through 2025-06-24.
Report Facts
Maximum licensed beds: 65
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Jun 25, 2021
Visit Reason
This document is a license renewal for the assisted living center Vitality Living Village, authorizing the facility to continue operations.
Findings
The license renewal certifies that the facility meets the provisions of the Oklahoma Statutes and State Board of Health regulations for operation as an assisted living center.
Report Facts
Maximum licensed beds: 65
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Jun 25, 2021
Visit Reason
This document is a license renewal for the assisted living center Vitality Living Village, authorizing the facility to continue operations under state regulations.
Findings
The document certifies that S-H OpCo Village, LLC is licensed to maintain an assisted living center with a maximum capacity of 65 beds, effective from 06/25/2021 to 06/24/2022.
Report Facts
Maximum licensed beds: 65
Inspection Report
Abbreviated Survey
Census: 26
Deficiencies: 0
Oct 6, 2020
Visit Reason
The visit was conducted as a COVID-19 Special Focus Infection Control Survey to determine if the facility was in compliance with proper infection prevention and control practices to prevent the development and transmission of COVID-19.
Findings
No deficiencies were cited during the COVID-19 Special Focus Survey conducted on October 6, 2020.
Report Facts
Total residents: 26
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
May 8, 2020
Visit Reason
This document is a license renewal issued to S-H OpCo Village, LLC for the operation of an Assisted Living Center named Brookdale Village.
Findings
The license certifies that the facility is authorized to conduct and maintain an Assisted Living Center with a maximum capacity of 65 beds. The license is effective from 06/25/2020 through 06/24/2021.
Report Facts
Maximum licensed beds: 65
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
May 31, 2019
Visit Reason
This document serves as a renewal license certifying that S-H OpCo Village, LLC is licensed to conduct and maintain an Assisted Living Center named Brookdale Village.
Findings
The license is issued pursuant to Oklahoma statutes and state board rules, authorizing operation of the facility with a maximum capacity of 65 beds, effective from 06/25/2019 to 06/24/2020.
Report Facts
Maximum licensed beds: 65
Report
File
04-03-2024_SURVEY_DOCUMENTS_111815.pdf
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